Organization Active NPI

Hurst Inc

Doing business as Hurst Chiropractic Center

  • Chiropractor
  • Burley, ID
National Provider Identifier
1386869444
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HURST INC
Doing business as
Hurst Chiropractic Center
Practice address
1246 Oakley Ave
Burley, ID 83318-1840
Phone
(208) 678-8184
Fax
(208) 678-8164
NPI assigned
Apr 16, 2007
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tyler S. Hurst, D.C.NPI 1407948169
Title
President
Phone
(208) 678-8184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X ID Primary

Addresses

Primary practice location

1246 Oakley Ave
Burley, ID 83318-1840

Mailing address

1246 Oakley Ave
Burley, ID 83318-1840
Phone (208) 678-8184

Other names 1

  • Hurst Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000347 ID Part B Supplier - Clinic/Group Practice 3577668755 Receives reassigned benefits from 1 practitioner
Practice locations: Burley, ID

National Provider Directory

National Provider Directory

Locations

1225 Overland Ave
Ste 2
Burley, ID 83318
Phone (208) 678-8184

1246 Oakley Ave
Burley, ID 83318
Phone (208) 678-3893

1246 Oakley Ave
#C
Burley, ID 83318

2311 Park Ave
Ste 1
Burley, ID 83318
Phone (208) 678-8164

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1386869444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 OAKLEY AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181840",
            "telephone_number": "208-678-8184",
            "fax_number": "208-678-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 OAKLEY AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181840",
            "telephone_number": "208-678-8184",
            "fax_number": "208-678-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-678-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurst Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.